| NPI | 1982719316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD.MD.70122163) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MO 2013042942) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2026-09-02 |